Dupixent is not intended for episodic use. Fill a 90-Day Supply to Save. 23. withdraw this Authorization at any time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. 14 mL, or 300 mg/2 mL)The Dupixent MyWay program is not available to medicare patients. If you still have questions, you can speak with a DUPIXENT MyWay or request to join the program over the phone. Fill out sections 5a and 5b completely to determine patient eligibility. Enroll now to receive emails and resources designed to help patients, caregivers and information seekers through the DUPIXENT® (dupilumab) treatment journey. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. (The patient is lucky / unlucky enough to have an income that would rule out the Patient Assistance Program. I was given the MyWay copay card but it had a limit of $13,000/calendar year and that has been exhausted at this point. DUPIXENT® is indicated as an add-on maintenance treatment of adult and pediatric patients 6 years and older with moderate-to-severe asthma characterized by an eosinophilic phenotype or with oral corticosteroid dependent asthma. Hear from DUPIXENT® (dupilumab) patients & caregivers of patients 6 years and older with uncontrolled moderate-to-severe atopic dermatitis & healthcare professionals who treat atopic dermatitis, download helpful resources & explore future events. Use DUPIXENT exactly as prescribed by your doctor. These programs and tips can help make your prescription more affordable. 2 Eligible US residents with an FDA-approved. You may be eligible for the DUPIXENT MyWayDUPIXENT MyWayAbout Dupixent Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. Fill out sections 5a and 5b completely to determine patient eligibility. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T)(1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. Dupixent has been studied in more than 8,000 patients ages 6 years and older across more than 40 clinical trials. 12. The most common side effects include: DUPIXENT MyWay. DUPIXENT is a biologic and can help reduce your patients' use of systemic corticosteroids. chevron_right. Fill out the form accurately and completely, providing all. including household income, to qualify. 0156 Past Update: March 2023 DUP. 0156 Last Update: March 2023 DUP. About Dupixent. Connect with someone, ask questions, and learn about their experience with DUPIXENT® (dupilumab) treatment. DUPIXENT® is a prescription medicine FDA-approved to treat five conditions. For more information, dial 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. For assistance, please call 1-844-468-2252 Monday Friday, 8AM to 8PM ET. Dupixent is indicated for the following type 2 inflammatory diseases:,Atopic Dermatitis,Adults and adolescents,Dupixent is indicated for the treatment of moderate to severe atopic dermatitis in patients aged 12 years and older who are candidates for chronic systemic therapy. 01. In patients aged 6 months to 5 years, Dupixent is administered with a pre-filled syringe every four weeks based on weight (200 mg for children ≥5 to <15 kg and 300 mg for children ≥15 to <30 kg). 99% of commercial patients (6+ months of age) nationally are covered for DUPIXENT. The DUPIXENT MyWay team will research each patient's situation and determine eligibility. form on DUPIXENT. Learn more about programs for eligible patients who are insured, underinsured, and uninsured. chevron_right. They are a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI. The language of the MyWay program back then never mentioned the $13,000 limit: they simply asked for income requirements, etc. 1 Reactions. The Dupixent MyWay program is not available to medicare patients. • Store DUPIXENT in the refrigerator at 36°F to 46°F (2°C to 8°C). Patients will need on hit the eligibility benchmark, including household income, to qualify. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty. 17 and 0. For more information, call 1-844-DUPIXENT. 1. DUPIXENT MyWay®. ) Please refer to Section 8, Patient Certifications, for. DUPIXENT® (dupilumab) is a. DUPIXENT® ® 1-844-387-9370 or Document Drop at (code: 8443879370) In adults and children 6 years and older, your initial dose of DUPIXENT is 2 injections under the skin (subcutaneous injection) at different injection sites. Browse the DUPIXENT® (dupilumab) sitemap to help you learn more about uncontrolled moderate- to-severe eczema in adults and children aged 6 months & older and navigate DUPIXENT. With and DUPIXENT MyWay Copay Card, eligible, commercially insured care may pay when little as $0* copay by fill the DUPIXENT. March 29, 2018. (DUPIXENT + Topical Corticosteroids (TCS) vs TCS only): CLEAR OR ALMOST CLEAR SKIN AT 16 Weeks 39% taking DUPIXENT + TCS vs 12% using TCS only. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT 1-844-387-4936 Monday-Friday, 8 am-9 pm ET. 14 mL; and 300 mg per 2 mL. “Eczema otherwise unspecified” is not indicated for Dupixent. C M ET DUPIXENT MYWAY ENROLLMENT FORM Moderate-to-Severe Atopic Dermatitis SUBMIT COMPLETED PAGES 1 & 2 Fax: 1-844-387-9370 Document Drop: (code: 8443879370)The DUPIXENT MyWay Copay Card Program includes the Copay Card, the Debit Card, and any direct patient rebate, and has a combined annual maximum benefit of $13,000 per patient per calendar year. Serious side effects can occur. 34 milliliters 200 mg/1. Nurse Educators Nurse Educators offer one-on-one support to help patients start and stay on track with therapy. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Patient is responsible for any out-of-pocket amounts that exceed the program limit. Partner with a specialist near you to see if DUPIXENT® (dupilumab) is an option for you for uncontrolled moderate-to-severe eczema in adults and children aged 6 months & older. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. Share your form with others. DUPIXENT® (dupilumab), in moderate-to-severe asthma treatment, is taken as an injection by a pre-filled syringe or pre-filled pen, review both options here. After that, it is taken as 1 injection every 2 weeks or every 4 weeks, depending on your age and weight. Continuation in the program is conditioned upon timely verification of income. VO: DUPIXENT is a prescription medicine used: to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. Dupixent will run about $3000 per month with my insurance until my maximum is met. Since MyWay covers 13,000 a year, that will count towards your deductible. Well at a cost of roughly $3,500/dose which lasts a month, that will all be used up in four months. Applies to: Dupixent Number of uses: per prescription per year. The majority of DUPIXENT patients with commercial/employer-provided insurance use the DUPIXENT MyWay ® Copay Card. The fax number is 1. Serious side. Caring. How do my patients enroll in <em>DUPIXENT MyWay®</em>? When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to. Self-nominate to become DUPIXENT MyWay® Ambassador, and if selected, you may have opportunities to share your story and offer encouragement to patients and their family members. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. Experience: Been on Dupixent since May 15, 2017. DUPIXENT® is a subcutaneous injectable prescription medicine for adults and children aged 6 months & older with uncontrolled, moderate-to-severe. out and fax back to DUPIXENT MyWay at 1-844-387-9370 • You or your specialist can call 1-844-DUPIXEN(T), option 1 • Providing your email address allows DUPIXENT MyWay to give you more support resources about DUPIXENT. Your insurance has to deny twice and then you can apply for patient assistance. Patients may be eligible for the DUPIXENT MyWay Copay Card if: They have a DUPIXENT prescription for an FDA-approved condition. If necessary, DUPIXENT may be kept at room temperature up to 77 °F (25 °C) for a maximum of 14 days. chevron_right. Enrolled patients receive: One-on-one support from our DUPIXENT MyWay support team; Help understanding insurance coverage; Financial assistance (for eligible patients only) Help. DUPIXENT MyWay® is a patient support program that can help with the enrollment process, offer. When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to supply information, such as the patient’s insurance, diagnosis, and prescription. It’s a change in how copay assistance and coupons are counted toward your. For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. Sign it in a few clicks. LEARN ABOUT OUR PATIENT SUPPORT PROGRAM. The DUPIXENT MyWay team will research each patient’s situation and determine eligibility. Maybe try that while waiting for the Dupixent. It's like $35k-$40k. was not paid in whole or in part by Medicare, Medicaid, or any federal or state programs. This copay card may be for you if you. I understand that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Injection site reactions and eye conditions are the most common side effects reported and, unlike several other biologics, the risk of infection is low. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. In order to meet the financial eligibility criteria for receiving Sanofi medication at no cost, you must have an annual household income of ≤ 400% of the current Federal Poverty Level. Biologic Drug: Biologic drugs are made from living cells and are often expensive. If you are a New York prescriber, please use an original New York State prescription form. If I am completing Section 5b, I authorize for my commercially insured patient one. DUPIXENT can be used with or without topical corticosteroids. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. Access the dupixent reimbursement form either online or through your healthcare provider. You don’t have to put your life on hold to fit your dosing schedule. DUPIXENT MyWay. Susie16 Oct 15, 2023 • 9:37 PM. Refrigerate it at 36 °F to 46 °F. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. 22. if speciality. Click Tap to Learn More In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with atopic dermatitis, with hand-foot-and-mouth disease and skin papilloma (incidence ≥2%) reported in patients 6 months to 5 years of age. I’m a registered nurse with DUPIXENT MyWay. 67 mL Dupixent subcutaneous solution from $3,787. Your healthcare provider may stop DUPIXENT if you develop joint symptoms. The formulary status tool below can help check DUPIXENT coverage for various plans. Learn how DUPIXENT® (dupilumab) works as the first and only FDA-approved treatment for prurigo nodularis (PN) in adults aged 18 years and older. DUPIXENT MyWay at PO Box 220128, Charlotte, NC 28222; Fax: 1-844-387-9370. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. Section 5a. Advertisement. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. DUPIXENT MyWay at PO Bo 22012, Charlotte, NC 2222 a 1--37-9370. 14 mL, or 300 mg/2 mL)My insurance provider covers 85% and our Canadian version of 'MyWay' pays the remainder. -The MyWay forms themselves changed to a new revision and had to be resubmitted by my doctor -The revised new form needed me to resign then over the phone. Some people do injections every 3 weeks, which could stretch that copay card out longer. Especially tell your healthcare provider if you. 23. What it is used for. Dupixent Myway . Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. I've been on Dupixent for over 2 years now and it has been such a great experience keeping my eczema under control. S. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Social Security income, unemployment insurance benefits, disability income, any other income for the household. S. Those who may qualify must be at least 18 years of age or older, a resident of the 50 United States, the District of Columbia, Puerto Rico, Guam, or the USVI, and demonstrate a. S. Please note that you will receive a confirmation fax after sending the form. There is currently no generic alternative to Dupixent. Dupixent side effects. Got off of it as soon as I realized it was getting worse with every shot after spacing them out every other month. Eligible patients will receive their cards by email. Please see Important Safety Information and Patient Information on. DUPIXENT® (dupilumab) Prescription Information Quick Start may be able to provide DUPIXENT at no cost to help bridge patients to therapy if there is a coverage delay. 2. 2 pens of 300mg/2ml. Patient Signature _____ If you have questions about the . Call 1-844-387-4936 SUMIT COMPLETED PAGES 1 2 Fax: 1-844-387-9370 MF, 8am9pm ET Document Drop: (code: 8443879370) Patient Name DO / / Prescriber Name Prescriber AddressDupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. dupixent myway income guidelinesstellaris unbidden and war in heaven. Dupixent significantly reduced itch and skin lesions compared to placebo in direct-to-Phase. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT. I knocked out the first copay out of pocket and went on the manufacturer website and applied for the dupixent my way card. 06 and -1. If you are moderate to low-income person with eczema or just need help paying for your health care or prescription costs, you’ve come to the right place. 10 for placebo; difference between Dupixent and placebo: -2. Patient and Co-pay Assistance: DUPIXENT MyWay helps eligible patients get access to therapy whether they are uninsured, lack coverage, or need assistance with their out-of. Learn how DUPIXENT® (dupilumab), the first FDA-approved weekly injectable biologic treatment for eosinophilic esophagitis (EoE) in patients 12 years and older who weigh at least 88lb (40kg) targets a source of inflammation, which contributes to EoE. TEL: 844-387-4936 FAX: 844-387-9370: Languages Spoken: English, Spanish, Others By Translation Service. Learn about the DUPIXENT® (dupilumab) mechanism of action inhibiting IL-4 and IL-13 signaling in appropriate asthma patients. ithdrawal of this Authoriation will end my participation in the DUPIXENT MyWay Program and will not aect any disclosure of My Information ased on this Authoriation made efore my reuest is received and processed y my ealthcare Providers, ealth Insurers, and Specialty Pharmacies. Dupixent is administered as an injection under the skin (subcutaneous injection) at different injection sites. Edit your dupixent myway enrollment form online. Johns Hopkins EHP i think goes with cigna and CVS Specialty pharmacy covers. for DUPIXENT® dupilumab therapy My Information. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. In an open-label extension study, the long-term safety profile of DUPIXENT ± TCS in pediatric patients observed through Week 52 was consistent with that seen in adults with. 00, but I do have some money invested. Serious adverse reactions may occur. I also have the dupixent myway card that covers a total of $13,000 for the year. Sanofi and Regeneron are committed to helping patients in the U. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based onto DUPIXENT MyWay at 1-844-387-9370. 26 [95% CI: 0. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. How many people live in your household? _____ Please refer to. For more information, call 1-844-DUPIXENT. ®DUPIXENT (dupilumab) Prescription Information Prescriber Certification: My signature certifies that the person named on this form is my patient; the information provided on this application, to the best of my knowledge, is complete and accurate; that therapy with DUPIXENT is medically necessary; and that I. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. You can email or print the enrollment forms below. I understand the disclosure to the Alliance will be for the purposes of enrolling me in, and providing certain services through the DUPIXENT MyWay Program, including • to determine if I am eligible to participate in DUPIXENT MyWay coverage assistance programs, patient assistance programs, or otherThis DUPIXENT Pre-filled Pen is only for use in adults and children aged 2 years and older. 1kg to 18. I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay. If you are a New York prescriber, please use an original New York State prescription form. 5011 XXX X < M A T > 00000 0 300 mg/ 2 m L Look at theFull Prescribing Information: Patient Information: Learn more about DUPIXENT: Thanks for c. If this is the case, write the preferred specialty pharmacy name and then check the box indicating that you have sent the prescription to the specialty pharmacy, which will. XXXX 00/0000 b y: A B C c o m pa n y, I n c. There is another biologic very similar to Dupixent called Adbry. Dupixent. Guam or the USVI, and demonstrate a financial need with a total annual adjusted gross income of $100,000 or less. Hear real patients stories of life with uncontrolled moderate-to-severe asthma and how discovering DUPIXENT® (dupilumab) impacted their journey. S. Your doctor will tell you how much DUPIXENT to inject and how often to inject it. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. 09. 2 pens of 300mg/2ml. (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Rx: DUPIXENT® (dupilumab) (100 mg/0. That is good, because I was quoted 1400+ a month by my Medicare D provider. 1-844-387-4936 (toll free) Monday - Friday, 8AM - 9PM (ET) Multilingual options available. Eligible commercially insured patients may pay $0 per prescription with a maximum savings of $13,000 per year; for additional information contact the program at 844-387-4936. DUPIXENT MyWay provides prior authorization and appeals information you may need, as well as helpful examples and guides to assist in obtaining coverage for DUPIXENT. 3. Dupixent changed my life completely. Oct 26, 2022 · Dupixent MyWay Program Enrollment Form for Allergists (AD, Asthma, CRSwNP). Griffinej5 • 2 yr. To contact DUPIXENT MyWay, please call 1-844-DUPIXENT (1-844-387-4936). 09. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Learn how DUPIXENT helped treat children 6 to 11 years old with their moderate-to-severe asthma. I just spoke to someone through the MyWay Program. Does anyone know of any assistance programs I can use to help assist in the copay after dupixent my way limit is reached?33% and 27% reduction in their nasal polyps score compared to a 7% and 4% increase with placebo in SINUS-24 and SINUS-52, respectively (LS mean change from baseline of -1. DUPIXENT® (dupilumab) is a prescription medicine FDA-approved to treat five conditions. For more information or to enroll in the patient support program, contact us at: 1‑844‑DUPIXENT. Find the safety profile, including most common side effects, of DUPIXENT® (dupilumab) for infant to preschoolers 6 months to 5 years of age with uncontrolled moderate-to-severe atopic dermatitis . If I am completing Section 5b, I authorize for my commercially insured patient one. VO: DUPIXENT is a prescription medicine used: to treat people aged 6 years and older with moderate-to-severe atopic dermatitis (eczema) that is not well controlled with prescription therapies used on the skin (topical), or who cannot use topical therapies. Fill out sections 5a and 5b completely to determine patient eligibility. Dupixent is an injection that is usually given under the skin every other week for the treatment of asthma, eczema, and some other inflammatory conditions. I have read and agree to the Income Verification included in Section 8 on page 5. Thus, the member is now $500 from hitting his deductible and $1500 from hitting his out-of-pocket maximum. will need to meet the eligibility criteria, including household income, to qualify. 0156 Last Update: March 2023 DUP. 0129 Last Update:. I have applied for grants, financial hardships (my household income surpasses every programs caps, even with 6 children), etc and now I'm just being told to pay $3,000/month or too bad. If I am completing Section 5b, I authorize for my commercially insured patient one. So, how can you save? Manufacturer Sanofi offers Dupixent MyWay, a patient support program. But either way, after you or Dupixent myway meets your deductible, it should be free to you. . 2017;5 (6):1519-1531. Clip the card and save • Save up to 80% on medications* Tell your healthcare provider about any new or worsening joint symptoms. 2022;400 (10356):908-919. For more information, dial 1‑844‑DUPIXENT( 1-844-387-4936 ), option 1. Dupixent MyWay Program This program provides brand name medications at no or low cost: Provided by: Sanofi and Regeneron Pharmaceuticals, Inc. Pay as little as $0 per month. Insurance Information Insurance? Yes No If yes, is it Medicare Part D? Primary insurance name Secondary insurance nameDupixent myway income limits 2022; where to buy authentic kf94 masks;. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT (maximum of $13,000 per patient per calendar. PRESCRIBER TO FILL OUT Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) Complete the entire form and submit pages 1-3 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Enrollment Form FOR ALLERGISTS Using a mail-order specialty pharmacy might help lower the monthly cost of Dupixent. C M ET DUPIXENT MYWAY ENROLLMENT FORM Moderate-to-Severe Atopic Dermatitis SUBMIT COMPLETED PAGES 1 & 2 Fax: 1-844-387-9370 Document Drop: (code: 8443879370) When filling out the DUPIXENT MyWay Enrollment Form, both you and your patient will be required to supply information, such as the patient’s insurance, diagnosis, and prescription. Eligible patients will receive their cards by email. For more information, dial 1-844-DUPIXENT 1-844-387-4936 ), option 5, Monday-Friday, 9 am – 9 pm ET. 2 Eligible US residents with an FDA-approved prescription for DUPIXENT may pay as little as $0 copay per fill of DUPIXENT (annual maximum of $13,000). Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will notEnrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm ET Patient Name DOB Prescriber. With the DUPIXENT MyWay Copay Card, eligible, commercially insured patients may pay as little as $0* copay per fill of DUPIXENT (maximum of $13,000 per patient per calendar year) if they meet the eligibility requirements, including: Have commercial insurance, including health insurance exchanges, federal employee plans, or state employee plans DUPIXENT MyWay is a patient support program that can help enable access to DUPIXENT and offers financial assistance to eligible patients, one-on-one nursing support, and more. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on this Authorization made before my request is received and. I'm "only" 61 now though on Dupixent MyWay copay help. 67 mL, 200 mg/1. Your cost may depend on your treatment plan, your insurance coverage (if you have it), and the pharmacy you use. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not Enrollment Form FOR DERMATOLOGISTS Complete the entire form and submit pages 1-2 to DUPIXENT MyWay® via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) Section 5a. SINCE 2017, ≈253,000 PATIENTS HAVE FILLED AT LEAST 1 DUPIXENT PRESCRIPTION b,c. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. DUPIXENT® is a prescription medicine used as an add-on maintenance treatment for uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma in people aged 6 years and older. 22. 23. ithdrawal of this Authoriation will end my participation in the DUPIXENT MyWay Program and will not aect any disclosure of My Information ased on this Authoriation made efore my reuest is received and processed y my ealthcare Providers, ealth Insurers, and Specialty Pharmacies. 2022;400 (10356):908-919. For more information, please call 1-844-DUPIXENT (1-844-387-4936) or visit . Household Size. Approval represents the second dermatology indication for Dupixent and fifth disease indication overall in the. Self-nominate to become DUPIXENT MyWay® Ambassador, and if selected, you may have opportunities to share your story and offer encouragement to patients and their family members. Decreased exacerbations and/or improvement in symptoms 2. Learn about DUPIXENT® (dupilumab) for moderate-to-severe asthma treatment. So the nurse told me to fax receipts for year to date prescriptions and last year's income forms (W2, 1099, etc). ) 2 Prescription Informationany time by mailing or faxing a written request to DUPIXENT MyWay at 1800 Innovation Point, Fort Mill, SC 29715; Fax: 1-844-387-9370. Get a Quick Start. 12. 71 for Dupixent compared to 0. Upon receipt of the completed Enrollment Form, DUPIXENT MyWay will: Conduct a benefits investigation to confirm commercial coverage Assess if the patient meets the eligibility criteria for the Quick Start Program 1 2 Approve the patient (if they are eligible). It will also depend on how much you have. Please see Important Safety Information and full PI on website. For more information, call 1. Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) For assistance, call 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8. PRESCRIBER TO FILL OUT Complete the entire form and submit pages 1-2 to ®DUPIXENT MyWay via fax at 1-844-387-9370 or Document Drop at (code: 8443879370) Education and Nurse Support: One-on-one nursing support is available to educate and empower patients to use DUPIXENT as prescribed. Serious side effects can occur. What it is used for. It still covers the same amount. 02. DUPIXENT® (dupilumab) is a subcutaneous injectable medication used in the treatment of patients aged 6 years and older with uncontrolled moderate-to-severe atopic dermatitis with two delivery options available, pre-filled syringe & pre-filled pen (aged 12+ years). For more information and to find out if you’re eligible for support, call 844-DUPIXENT (844-387-4936) or visit the program website. Quantity Limits: Dupixent: 200 mg/1. Most do, some don't. By checking the box, I acknowledge DUPIXENT MyWay will not conduct a benefits verification. DUPIXENT has been FDA approved for use in adults with uncontrolled moderate-to-severe eczema since 2017. store above 77 °F (25 °C). DUPIXENT MyWay Appeal Specialists can help provide support throughout the appeal process. I found the carnivore diet helps immensely for autoimmune issues. who are prescribed Dupixent gain access to the medicine and receive the support they may need with the DUPIXENT MyWay ® program. I’m a registered nurse with DUPIXENT MyWay. 14 mL, or 300 mg/2 mL)The average cash price for a 30-day supply of Dupixent is $5,298. The DUPIXENT MyWay patient support program is here to help you at every step of your DUPIXENT treatment journey. Dupixent inhibits the overactive signaling of interleukin-4 (IL-4) and. 03. · If the insurer does have a copay accumulator in place: the insurer pays the entire cost of the refill except for $500. Dupixent (dupilumab) is used to treat certain patients with eczema, asthma, and nasal polyps. For any questions or concerns, or to report side effects with a Sanofi and Regeneron product while enrolled in DUPIXENT MyWay®, please contact 1-844-DUPIXEN(T) (1-844-387-4936) Option 1, Monday–Friday, 8 am–9 pm Eastern time. 23. DUPIXENT use in pregnant women have not identified a drug-associated risk of major birth defects, miscarriage, or adverse maternal or fetal outcomes. $0!!!!! On April 6 I sent them income paperwork and my year to date prescription invoices. Sanofi offers a Dupixent MyWay copay card to some patients with commercial insurance, but it has eligibility requirements and a yearly maximum of $13,000. If you don't have insurance at all, the only realistic option is to qualify for income-based help from Dupixent directly. ) 2 Prescription InformationDUPIXENT is not a steroid. Nationally are Covered for DUPIXENT. They will begin the benefits investigation and inform your office of the next steps. Compare . A quantity of Dupixent will be considered medically necessary if the above criteria are met, as indicated in the table below:. 23. Over 80% of insurance plans cover Dupixent, but many have restrictions. DUPIXENT is not used to treat sudden breathing problems. I'm guessing this will not be allowed once I'm on Medicare. Dupixent® should be given by or under the supervision of an adult in children 12 years of age and older. Required if enrolling in the DUPIXENT MyWay. DUPIXENT® is a prescription medicine used as an add-on maintenance treatment for uncontrolled moderate-to-severe eosinophilic or oral steroid dependent asthma in people aged 6 years and older. Serious side effects can occur. If this is the case, write the preferred specialty pharmacy. So, even with a "prior authorization" and a "formulary override", the cost to me is $2900 per month, or about $1450. I wanted to go out and make a difference and help people. Eligible patients covered by commercial health insurance may pay as little as a $0 p copay per fill of DUPIXENT. _____ What is your total annual household income? _____ (Includes salary/wages, Social Security income, unemployment insurance benefits, disability income, any other income for the household. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on I consent to DUPIXENT MyWay contacting me by fax, mail, or email to provide additional information about DUPIXENT injection or DUPIXENT MyWay, and that DUPIXENT MyWay may revise, change, or terminate any program services at any time without notice to me. These programs and tips can help make your prescription more affordable. A group of skin conditions characterized by skin inflammation, rash, and itch. Monday-Friday, 8 am-9 pm ET. The specialty pharmacy is responsible for securing coverage on my patient’s behalf. In patients aged 6 months to 5 years, Dupixent is administered with a pre-filled syringe every four weeks based on weight (200 mg for children ≥5 to <15 kg and 300 mg for children ≥15 to <30 kg). DUPIXENT® (dupilumab) is a. DUPIXENT MyWay. Fill out sections 5a and 5b completely to determine patient eligibility. Injection in children 12 and older should be supervised by an adult. ago. $125 is the amount Dupixent assistance pays. The patient must then take the following actions:I just got approved for dupixent this week however the copay is 3,000$ a month! The dupixent my way program only covers up to 13k or something like that. Serious side effects can occur. Rx: DUPIXENT® (dupilumab) (100 mg/0. 74 (2023), plus an amount based on how much you. Normally my copay would be about $970 per refill, but with about 12 refills per year this does not max out the Dupixent MyWay copay card. Dedicated Dupixent MyWay Case Managers can explain information related to Dupixent. Denied because of 2022 income threshold for household of two. 00 per injection. Social Security income, unemployment insurance benefits, disability income, any other income for the household. In addition, I agree to notify DUPIXENT MyWay if my insurance situation changes. Hello! Switching insurance this year and need to prepare for increasing costs of dupixent with my new insurance. Talk one-on-one live with a dedicated Dupixent MyWay Case Manager. Withdrawal of this Authorization will end my participation in the DUPIXENT MyWay Program and will not affect any disclosure of My Information based on this Authorization made before my request is received and processed by 1‑844‑DUPIXENT 1-844-387-4936. They never mentioned only covering a. Please see Dosage Regimens, How to Inject DUPIXENT® and Instructions for Use. The DUPIXENT MyWay team can research each patient's situation and determine eligibility. Household Income Required if enrolling in the DUPIXENT MyWay Patient Assistance Program. Please see Important Safety Information and Patient Information on website. ) Please refer to Section 8, Patient Certifications, for. The U. Serious side effects can occur. Deductible is at $3k out of pocket insurance pays 80% and at $6k insurance pays 100%. I’ve been with DUPIXENT MyWay since the very beginning. 22.